N 'chifukwa Chiyani Aliyense Akudana Ndi Mapiritsi Oletsa Kulera Pakali Pano?

Zamkati

• Malangizo a Mapiritsi
• Zovuta (za Legit)
• Kuthetsa Ubale
• Onaninso za

Kwa zaka zopitilira 50, Piritsi yakondweretsedwa ndikumeza amayi mazana mazana padziko lonse lapansi. Chiyambireni kumsika mu 1960, Piritsiyi yayamikiridwa ngati njira yopatsa amayi mphamvu zokonzekera kutenga pakati-ndipo, moyo wawo.

Koma m'zaka zaposachedwa, kuyerekezera zakulera kwayamba. M'dziko lazaumoyo lomwe limapereka mphotho zonse-zachilengedwe zonse-kuchokera ku chakudya kupita ku chisamaliro cha khungu - Piritsi ndi mahomoni ake akunja asintha kukhala a godsend komanso zoyipa zofunika, ngati si mdani weniweni.

Pa Instagram ndi pa intaneti, "olimbikitsa" komanso akatswiri azaumoyo amafotokozera zabwino zomwe munthu amamwa mapiritsi. Mavuto omwe akuwoneka ndi mapiritsiwa akuphatikizapo zinthu monga libido yotsika, vuto la chithokomiro, kutopa kwa adrenal, matenda am'matumbo, kupsinjika kwam'mimba, kuperewera kwa michere, kusinthasintha kwa malingaliro, ndi zina zambiri. (Pano: Zotsatira Zofala Kwambiri Zoyang'anira Kubadwa)

Ngakhale mawebusaiti akuluakulu akulowa nawo mitu monga "Chifukwa Chake Ndili Wosangalala, Wathanzi, ndi Sexier Off Hormonal Birth Control." (Chidutswa chimenecho chikuwonetsa kuchoka pa Piritsi chifukwa chokulitsa chilakolako chogonana cha wolemba, kukula kwa bere, momwe amamvera, komanso chidaliro ndi luso lake locheza ndi anthu.)

Mwadzidzidzi, kupita wopanda Mapiritsi (monga kukhala wopanda gilateni kapena wopanda shuga) kwakhala njira yotentha kwambiri yathanzi. Ndikokwanira kupanga wina wonga ine, yemwe wakhala ali pa Piritsi kwa zaka 15, ndikudabwa ngati ndinali kudzipweteka ndekha mwa kumeza piritsi laling'ono tsiku lililonse. Kodi ndinafunika kusiya, monga chizolowezi choipa?

Mwachiwonekere, sindine ndekha amene ndimadabwa. Oposa theka (55 peresenti) ya amayi a ku America omwe akugonana nawo panopa sagwiritsa ntchito njira yolerera, ndipo mwa omwe amatero, 36 peresenti amati angakonde njira yopanda mahomoni, malinga ndi kafukufuku wopangidwa ndi The Harris Poll for Evofem Biosciences. , Inc. (kampani yopanga ma biopharmaceuticals yoperekedwa kwaumoyo wa amayi). Komanso, aAnthu osiyanasiyana Kafukufuku adapeza kuti azimayi 70 pa 100 aliwonse omwe adamwa Mapiritsi adanena kuti asiya kumwa, kapena aganiza zosiya kumwa zaka zitatu zapitazi. Ndiye, kodi mankhwala omwe kale anali okondwereranso asanduka mbiri yakale?

"Ndichinthu chosangalatsa," akutero Navya Mysore, MD, dotolo wodziwa zaumoyo wa amayi ku One Medical, wa Pill backlash. "Sindikuganiza kuti ndizolakwika chifukwa zimakakamiza anthu kuyang'ana zakudya zawo zonse, moyo wawo, komanso kupsinjika maganizo." Zitha kuphatikizidwanso ndikuti azimayi ochulukirapo akusankha IUD yopanda mahomoni, akutero.

Koma, generalizations ndi malankhulidwe okhudzana ndi "zoyipa" za BC sizolondola kwa munthu aliyense. "Kulera sikuyenera kukhala nkhani yandale," akutero. "Iyenera kukhala chisankho cha munthu aliyense-osati chinthu chabwino kapena choyipa."

Monga china chilichonse chomwe chikuyenda pa intaneti, tiyenera kusamala ndi china chake chomwe chikumveka kuti sichabwino. Zambiri mwazolembazo zomwe zimalimbikitsa ufulu wakulera zitha kumveka zabwino, koma pakhoza kukhala zolinga zina, atero a Megan Lawley, MD, mnzake wakulera ku Emory University department of Gynecology and Obstetrics.

"Nthawi zambiri mungaone kuti anthu omwe amati kulera kumavulaza kuposa kuchita zabwino akulimbikitsanso anthu kuwononga ndalama kuchipatala kapena zinthu zomwe sizikudziwika bwinobwino," akutero, "onetsetsani kuti mukusankha njira zabwino zophunzitsira wekha. " Mwanjira ina, musakhulupirire zonse zomwe mwawerenga pa 'gramu!

Malangizo a Mapiritsi

Choyamba, Piritsi ndiyotetezedwa, pazolinga ndi zolinga zonse ndipo zothandiza. Imagwira ntchito yabwino kwambiri pokwaniritsa lonjezo lake lalikulu lopewa kutenga pakati. Malinga ndi Planned Parenthood, 99% ndiyothandiza kwambiri, ngakhale kuti nambalayi imagwera pa 91% pambuyo powerengera zolakwika za ogwiritsa ntchito.

Kuphatikiza apo, Piritsi imapereka mapindu azaumoyo. "Kulera kwa mahomoni kumatha kuthandiza azimayi omwe ali ndi mavuto monga nthawi yolemera komanso / kapena nthawi zopweteka, kupewa kutha msana, komanso kuchiza ziphuphu kapena hirsutism (kukula kwambiri kwa tsitsi)," akutero Dr. Lawley. Zikuwonekeranso kuti amachepetsa chiopsezo cha khansa yamchiberekero ndi endometrial ndipo amathandizira azimayi omwe ali ndi matenda monga polycystic ovarian syndrome, endometriosis, ndi adenomyosis.

Ponena za zonena kuti zimabweretsa zotsatira zoyipa, kuyambira kulemera mpaka kusinthasintha kwamalingaliro mpaka kusabereka? Ambiri samasunga madzi. Sherry A. Ross, MD, katswiri wa zaumoyo wa amayi komanso wolemba She-ology: Upangiri Wotsimikizika Wathanzi Labwino la Akazi. Nthawi.

Nayi mgwirizano: Zotsatira zoyipa monga kunenepa kapena kusinthasintha kwamalingaliro angathe zimachitika, koma zimatha kuchepetsedwa poyesa mapiritsi osiyanasiyana. (Amu ndi momwe mungapezere njira yabwino yolerera kwa inu.) Ndipo, kachiwiri, thupi la munthu aliyense lidzayankha mosiyana. "Zotsatira zoyipazi nthawi zambiri zimakhala zazing'ono," akufotokoza Dr. Ross. "Ngati sachoka m'miyezi iwiri kapena itatu, lankhulani ndi dokotala wanu za kusintha kwa Mapiritsi amtundu wina, chifukwa pali mitundu yambiri yosiyanasiyana ndi kuphatikiza kwa estrogen ndi progesterone malinga ndi zotsatira zanu ndi thupi lanu." Ndipo kumbukirani kuti: "Si zowonjezera zonse" zachilengedwe "zomwe zili zotetezeka, mwina," akutero Dr. Mysore. "Alinso ndi zovuta zawo."

Ponena za mphekesera zoti kukhala pa Piritsi kungakupangitseni kukhala osabereka? "Palibe chowonadi pamenepo," akutero Dr. Mysore. Ngati wina ali ndi chonde, kukhala pa Piritsi sikungakulepheretseni kutenga pakati. Ndipo mosadabwitsa, pali zero kafukufuku wasayansi yemwe akuwonetsa kuti kudumpha mapiritsi kumalimbikitsa chidaliro chanu kapena luso lanu pagulu. (Onani nthano zina zodziwika za kulera.)

Zovuta (za Legit)

Zonse zomwe zanenedwa, pali zifukwa zina zodutsira Piritsi. Poyambira, si aliyense amene ali woyenera kulera molingana ndi mahomoni: "Ngati muli ndi kuthamanga kwa magazi, mbiri ya magazi kuundana, zikwapu, ndinu osuta fodya wazaka zopitilira 35, kapena mumadwala mutu waching'alang'ala ndi aura, inu sayenera kumwa kulera,” akutero Dr. Ross.Komanso, mapiritsi oletsa kubereka pakapita nthawi akhoza kukhala ndi chiopsezo chowonjezeka cha khansa ya m'mawere, ngakhale kuti "ndichiwopsezo chochepa kwambiri," akutero.

Chifukwa china chabwino chochotsera Piritsi ndikuti mukaganiza kuti IUD ndi chisankho chabwino kwa inu. IUD imakhala ndi zizindikiro zambiri pakati pa amayi monga njira yolerera yothandiza komanso yotetezeka ndipo yavomerezedwa ngati njira yoyamba yolerera kwa amayi onse a msinkhu wobereka ndi American College of Obstetricians and Gynecologists. Dr. IUD ya mkuwa ilibe mahomoni ndipo ma IUD otulutsa progesterone ali ndi progesterone yocheperako poyerekeza ndi kulera kwapakamwa.

Kuthetsa Ubale

Zoonadi, ngati mutachoka ku kulera kozizira, mukhoza kutenga mimba yosakonzekera. Ambiri mwa olimbikitsa thanzi omwe akuchokera pa Piritsi akuti adzagwiritsa ntchito mapulogalamu owunikira kubereka kapena njira yolerera pathupi. Mwinanso mwawonapo zolemba zothandizira pa pulogalamu ya Natural Cycles, yomwe ili ndi kampeni yolimbikitsa yotsatsa.

Ngakhale kuti ndi njira yabwino yopanda mapiritsi, ndizofunika kudziwa kuti njirayi ili ndi zoopsa zina, akutero Dr. Mysore. Popeza mumayenera kujambula pamanja kutentha kwanu m'mawa uliwonse nthawi imodzimodzi, zitha kupanga kusiyana kwakukulu pakuwerenga ngati mwatsala pang'ono mphindi zochepa. Izi zati, kugwira ntchito kwake ndikofanana ndi mapiritsi, popeza onse ali pachiwopsezo chogwiritsa ntchito osuta. Pakafukufuku wopangidwa ndi Natural Cycles yemwe adatsata azimayi 22,785 kudutsa zaka ziwiri zakusamba, pulogalamuyi idapezeka kuti imagwira ntchito bwino ndi 93 peresenti (kutanthauza kuti idachita zolakwika ndi zinthu zina motsutsana ndi. ), yomwe ili yofanana ndi mapiritsi oletsa kubereka a mahomoni. Swedish Medical Products Agency idatsimikiziranso momwe izi zimathandizira mu lipoti la 2018. Ndipo, mu Ogasiti 2018, a FDA adavomereza Zachilengedwe monga pulogalamu yoyamba yamankhwala yomwe ingagwiritsidwe ntchito ngati njira yolerera yopewa kutenga mimba. Chifukwa chake ngati mukusiya mapiritsi ndikukonzekera kupita njira yachilengedwe, kugwiritsa ntchito pulogalamu ngati Natural Cycles ndikothandiza kwambiri kuposa njira zachikhalidwe zotsata chonde, zomwe zimangogwira 76 mpaka 88 peresenti mchaka choyamba chogwiritsa ntchito, malinga ndi American College of Obstetricians and Gynecologists.

Ngati mukungofuna kudziwa momwe thupi lanu limachitira mukasiya Piritsi, Dr. Mysore amathandizira lingaliro lotenga "tchuthi choletsa kubereka" zaka zitatu kapena zisanu zilizonse kuti muwonetsetse kuti kuzungulira kwanu kumakhala kokhazikika. "Chokani kwa miyezi ingapo kuti muwone momwe msambo wanu umawonekera: Ngati nthawi zonse, mutha kubwereranso kuti mupitirize kupewa kutenga pakati," akutero. Onetsetsani kuti mukugwiritsa ntchito njira yosungira, monga makondomu, panthawi yopuma. (Mwachidule: Nazi zina mwa zotsatirapo zomwe mungayembekezere mutamwa mapiritsi olerera.)

Koposa zonse, kumbukirani kuti kupitiriza kumwa mapiritsi ndi chisankho cha munthu aliyense. "Pali zifukwa zambiri zopewera kulera, monganso pali zifukwa zomwe amayi amasankhira kuti asatengere njira zakulera," akutero Dr. Lawley, ndipo chisankho chilichonse chiyenera kuyamba ndikulankhula ndi omwe amakuthandizani pazachipatala.

Onaninso za